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The Physical Activity Prevalence and Contributing Factors among Women Receiving Antenatal Care in Low-Income Communities in Lusaka, Zambia

Received: 28 January 2024    Accepted: 8 February 2024    Published: 27 February 2024
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Abstract

If there are no medical or obstetrical complications, pregnant women should continue and maintain moderate intensity exercise during pregnancy under the supervision of their healthcare provider. In this study, we considered the prevalence and participants’ perception of factors affecting physical activity among pregnant women receiving antenatal care in low-income communities in Lusaka, Zambia. We used a mixed method design to collect both quantitative and qualitative data elements. The study population (N=250) comprised of all pregnant women aged 15-49 years who were receiving prenatal care at study sites regardless of their gestational age. For quantitative data, descriptive statistics were analyzed using Stata version 20-0 for Windows while, in qualitative data, a textual analysis was conducted to establish verifiable themes and categories. The participant’s physical activity prevalence was 82% and the level of exercise classification was moderate. Factors that influenced physical activity during pregnancy include physical body changes and symptoms of discomfort, influence of family and friends, housing's physical and social surroundings and absence of nurturing environment. These findings may be of use to public health practitioners, policy-makers and health professionals as they may help inform context-specific interventions that focus on increasing antenatal physical activity at the health facilities. These findings are important because health care providers should encourage increased physical activity during pregnancy, but treatment should be tailored to the unique needs of each patient.

Published in American Journal of Nursing and Health Sciences (Volume 5, Issue 1)
DOI 10.11648/j.ajnhs.20240501.15
Page(s) 38-45
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Physical Activity, Factors, Pregnancy, Antenatal Care, Low-Income, Communities

References
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[7] Gascoigne, E. L., Webster, C. M., Honart, A. W., Wang, P., Smith-Ryan, A., & Manuck, T. A. (2023). Physical activity and pregnancy outcomes: an expert review. American journal of obstetrics & gynecology MFM, 5(1), 100758. https://doi.org/10.1016/j.ajogmf.2022.100758
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[12] Cresswell, J. W. (2013). Qualitative inquiry and research design: Choosing among the five approaches. Thousands Oaks, CA: SAGE Publications Inc., pp. 77-83.
[13] Phiri, M., Likwa, R. N., Mweshi, M. M., Nkhata, L. A. (2024). Knowledge and Practice of Exercise during Pregnancy Among Pregnant Women Receiving Antenatal Care in Selected Public Health Facilities in Lusaka, Zambia. American Journal of Nursing and Health Sciences, 5(1), 17-22. https://doi.org/10.11648/j.ajnhs.20240501.13
[14] Sun, J., Piernicka, M., Worska, A., & Szumilewicz, A. (2023). A socio-ecological model of factors influencing physical activity in pregnant women: A systematic review. Frontiers in Public Health, 11, 1232625. https://doi.org/10.3389/fpubh.2023.1232625
[15] Siyad, S., Mustafa, N., Banu, S. S., Buharoon, M. A., Al Mulla, M. A., Ankarali, H., Carrick, F. R., & Abdulrahman, M. (2022). Pregnant Women's Perceptions of Physical Activity: Adaptation of the Pregnancy Physical Activity Questionnaire in Dubai, a Multicultural Society. Journal of Public Health Research. https://doi.org/10.4081/jphr.2021.2261
[16] Banda, C. L. (2013). Barriers to utilization of focused antenatal care among pregnant women in Ntchisi district in Malawi. 33-43 https://core.ac.uk/download/pdf/250122343.pdfZhang, T., Thomas, K., & Weiller, K. (2015). Predicting physical activity in 10-12 year old children: a social ecological approach. Journal of teaching in physical education, 34(3), 517-536.
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[18] Connelly, M., Brown, H., & Teychenne, M. (2015). Modifiable barriers to leisure-time physical activity during pregnancy: A qualitative study investigating first time mother’s views and experiences. BMC Pregnancy and Childbirth, 15. https://doi.org/10.1186/s12884-015-0529-9
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[23] Wagnild, J. M., & Pollard, T. M. (2020). “Sit Yourself Down”: Women’s Experiences of Negotiating Physical Activity During Pregnancy. Qualitative Health Research. https://doi.org/10.1177/1049732320909103
[24] Okafor, U. B., & Goon, D. T. (2022). Uncovering Barriers to Prenatal Physical Activity and Exercise among South African Pregnant Women: A Cross-Sectional, Mixed-Method Analysis. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.697386
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    Phiri, M., Likwa, R. N., Mweshi, M. M., Nkhata, L. A. (2024). The Physical Activity Prevalence and Contributing Factors among Women Receiving Antenatal Care in Low-Income Communities in Lusaka, Zambia. American Journal of Nursing and Health Sciences, 5(1), 38-45. https://doi.org/10.11648/j.ajnhs.20240501.15

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    ACS Style

    Phiri, M.; Likwa, R. N.; Mweshi, M. M.; Nkhata, L. A. The Physical Activity Prevalence and Contributing Factors among Women Receiving Antenatal Care in Low-Income Communities in Lusaka, Zambia. Am. J. Nurs. Health Sci. 2024, 5(1), 38-45. doi: 10.11648/j.ajnhs.20240501.15

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    AMA Style

    Phiri M, Likwa RN, Mweshi MM, Nkhata LA. The Physical Activity Prevalence and Contributing Factors among Women Receiving Antenatal Care in Low-Income Communities in Lusaka, Zambia. Am J Nurs Health Sci. 2024;5(1):38-45. doi: 10.11648/j.ajnhs.20240501.15

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  • @article{10.11648/j.ajnhs.20240501.15,
      author = {Margaret Phiri and Rosemary Ndonyo Likwa and Margaret Mutale Mweshi and Loveness Anila Nkhata},
      title = {The Physical Activity Prevalence and Contributing Factors among Women Receiving Antenatal Care in Low-Income Communities in Lusaka, Zambia},
      journal = {American Journal of Nursing and Health Sciences},
      volume = {5},
      number = {1},
      pages = {38-45},
      doi = {10.11648/j.ajnhs.20240501.15},
      url = {https://doi.org/10.11648/j.ajnhs.20240501.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajnhs.20240501.15},
      abstract = {If there are no medical or obstetrical complications, pregnant women should continue and maintain moderate intensity exercise during pregnancy under the supervision of their healthcare provider. In this study, we considered the prevalence and participants’ perception of factors affecting physical activity among pregnant women receiving antenatal care in low-income communities in Lusaka, Zambia. We used a mixed method design to collect both quantitative and qualitative data elements. The study population (N=250) comprised of all pregnant women aged 15-49 years who were receiving prenatal care at study sites regardless of their gestational age. For quantitative data, descriptive statistics were analyzed using Stata version 20-0 for Windows while, in qualitative data, a textual analysis was conducted to establish verifiable themes and categories. The participant’s physical activity prevalence was 82% and the level of exercise classification was moderate. Factors that influenced physical activity during pregnancy include physical body changes and symptoms of discomfort, influence of family and friends, housing's physical and social surroundings and absence of nurturing environment. These findings may be of use to public health practitioners, policy-makers and health professionals as they may help inform context-specific interventions that focus on increasing antenatal physical activity at the health facilities. These findings are important because health care providers should encourage increased physical activity during pregnancy, but treatment should be tailored to the unique needs of each patient.
    },
     year = {2024}
    }
    

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    T1  - The Physical Activity Prevalence and Contributing Factors among Women Receiving Antenatal Care in Low-Income Communities in Lusaka, Zambia
    AU  - Margaret Phiri
    AU  - Rosemary Ndonyo Likwa
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    AB  - If there are no medical or obstetrical complications, pregnant women should continue and maintain moderate intensity exercise during pregnancy under the supervision of their healthcare provider. In this study, we considered the prevalence and participants’ perception of factors affecting physical activity among pregnant women receiving antenatal care in low-income communities in Lusaka, Zambia. We used a mixed method design to collect both quantitative and qualitative data elements. The study population (N=250) comprised of all pregnant women aged 15-49 years who were receiving prenatal care at study sites regardless of their gestational age. For quantitative data, descriptive statistics were analyzed using Stata version 20-0 for Windows while, in qualitative data, a textual analysis was conducted to establish verifiable themes and categories. The participant’s physical activity prevalence was 82% and the level of exercise classification was moderate. Factors that influenced physical activity during pregnancy include physical body changes and symptoms of discomfort, influence of family and friends, housing's physical and social surroundings and absence of nurturing environment. These findings may be of use to public health practitioners, policy-makers and health professionals as they may help inform context-specific interventions that focus on increasing antenatal physical activity at the health facilities. These findings are important because health care providers should encourage increased physical activity during pregnancy, but treatment should be tailored to the unique needs of each patient.
    
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Author Information
  • Department of Physiotherapy, Kabwe Women New Born and Children’s Hospital, Kabwe, Zambia

  • Department of Population Studies and Global Health, School of Public Health, University of Zambia, Lusaka, Zambia

  • Department of Physiotherapy, School of Health Sciences, University of Zambia, Lusaka, Zambia

  • Department of Physiotherapy, School of Health Sciences, University of Zambia, Lusaka, Zambia

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